BACTERIAL ENDOTOXIN FOR THE PREVENTION OF METABOLIC DISORDERS AND BACTERIAL INFECTIONS
The invention provides compositions and methods for preventing a metabolic disorder or bacterial infection in a subject, the composition comprising a bacterial endotoxin.
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This application claims the benefit of U.S. Provisional Patent Application No. 60/893,709, filed Mar. 8, 2007, which is incorporated herein by reference.
FIELD OF THE INVENTIONThe invention concerns the use of bacterial endotoxins for preventing metabolic disorders and bacterial infections.
BACKGROUND OF THE INVENTIONMetabolic disorders are diseases that involve changes in plasma metabolites of sick animals or humans. Almost 50% of dairy cows are affected by one or more metabolic diseases such as ketosis, fatty liver, laminitis, displaced abomasum, milk fever, downer cow syndrome, udder edema, metritis, retained placenta, infertility, or mastitis. The conventional view on metabolic disorders is that these diseases are related to the disturbance of one or more blood metabolites. These changes are generally interpreted as deficiencies or excesses of these nutrients in the diet, especially, around parturition.
High-grain diets (i.e. a diet rich in starch) may be implicated in the development of metabolic disorders. Feeding ruminant animals high-grain diets is a human-designed intervention to increase milk and meat production. However, ruminants do not naturally consume high-grain diets; rather, they eat mostly grass or forage diets. Since grain is rich in starch and poor in fiber content, feeding high-grain diets is associated with major changes in the gastrointestinal (GI) microflora, involving a switch from fiber-digesting bacteria to starch-digesting bacteria. Most of the starch-digesting bacteria are Gram-negative bacteria. These degrade starch to use it for their nutritional needs. During this process, large quantities of acids are released into the GI tract. As a result, the normally alkaline GI tract becomes more acidic. Furthermore, abundant starch increases the number of Gram-negative bacteria in the GI tract. This is associated with the release of great amounts (20-fold increase) of toxic compounds such as endotoxin or lipopolysaccharide (LPS). Endotoxin translocates into the host's blood circulation and causes a variety of alterations in blood metabolites, immunity, and health status.
Thus, metabolic disorders, particularly as a result of grain feeding in ruminant animals, are a significant problem and there remains a need for effective methods for preventing metabolic disorders, particularly in mammals such as dairy cattle.
SUMMARY OF THE INVENTIONThe inventors have discovered that, surprisingly, administration of a bacterial endotoxin to a mammal is effective to prevent the development of metabolic disorders. It has further been discovered that the same approach is also effective for preventing bacterial infections.
Accordingly, in one aspect, the invention provides a composition for preventing a metabolic disorder or bacterial infection in a subject, said composition comprising a bacterial endotoxin.
In another aspect, the invention provides a method for preventing a metabolic disorder or bacterial infection in a subject, said method comprising administering to said mammal a composition comprising a bacterial endotoxin.
In another aspect, the invention provides use of a bacterial endotoxin for preventing a metabolic disorder or bacterial infection in a subject.
In another aspect, the invention provides use of a bacterial endotoxin in the preparation of a medicament for preventing a metabolic disorder or bacterial infection in a subject.
In another aspect, the invention provides a bacterial endotoxin for use in preventing a metabolic disorder or bacterial infection in a subject.
Metabolic disorders are a group of diseases that affect dairy cows immediately after parturition. There are several metabolic disorders identified in dairy cows during the first month after parturition, the most significant of which are the following: (1) sub-acute and acute ruminal acidosis; (2) laminitis; (3) ketosis, (4) fatty liver, (5) left displaced abomasum (LDA), (6) milk fever; (7) downer cow; (8) retained placenta; (9) metritis, (10) mastitis, (11) udder edema; and (12) bloat. Dairy farmers lose approximately $142/cow per year for treatment of metabolic disorder in addition to milk loss in the first 30 days of lactation. More than half of dairy cows are affected by at least one metabolic disorder. This makes metabolic disorders of great economic importance.
The reason that these diseases are called metabolic disorders is related to the fact that they are associated with the disturbance of one or more blood metabolites in sick cows. For example, ketosis is associated with enhanced ketone bodies in the blood; fatty liver is associated with enhanced nonesterified fatty acids (NEFA) in the blood and their accumulation in the liver; acidosis is associated with increased production of volatile fatty acids (e.g., acetate, propionate, and butyrate) and organic acids (e.g., lactic acid) in the rumen and low rumen and blood pH; and milk fever is associated with decreased blood calcium. There is not yet a blood metabolite identified for some of the metabolic disorders such as downer cow, LDA, metritis, mastitis, or bloat. However, these diseases are associated with alteration of multiple blood metabolites.
The most interesting observation with regard to the occurrence of metabolic disorders is that they are highly associated with each other. For example, cows affected by milk fever are more prone to mastitis, retained placenta, metritis, LDA, dystocia, udder edema, and ketosis; cows affected by acidosis are more prone to laminitis, LDA, milk fever, mastitis, and fatty liver. Those affected by retained placenta are more prone to metritis, LDA, and ketosis. Ketosis and fatty liver are common findings in cows affected by milk fever, mastitis, laminitis, displaced abomasum, metritis, retained placenta and udder edema. Although these associations have been known for years by animal scientists, the reason behind these associations is not very well understood. One speculation is that there might be a common etiological factor that initiates the cascade of metabolic disorders. Therefore, scientists are searching to identify such a common causal agent of metabolic disorders; however, no such an agent has been identified so far.
Modern dairy cows have been selected by continuous genetic improvement and rigorous selection to achieve high milk production. Since high milk production cannot be maintained by forage alone, grain-based diets which are very rich in energy are fed to cows. The ruminal digestive system is not developed to digest high amounts of grain, and feeding grains which are rich in starch is associated with a decline in ruminal and colonic pH, change in osmotic pressure and shift in bacterial populations from cellulolytic to amylolytic bacteria. Most of the known starch digesters are Gram-negative bacteria and this shift in population is associated with a 20-fold increase in the amount of endotoxin in the ruminal fluid. Several epidemiological studies have shown that endotoxin from rumen Gram-negative bacteria has been implicated in diseases that are related to feeding high concentrate diets such as sudden death syndrome, ruminal acidosis, fatty liver, left displaced abomasum and laminitis. Ruminal epithelium lacks in mucus secretion and exposure to acidotic environment leads to inflammation and tissue degeneration. The acidotic environment, change in osmotic pressure and endotoxin may affect the permeability of the rumen and colon resulting in translocation of endotoxin in the circulation. Although the presence of endotoxin in the ruminal fluid has been documented, prior to the present invention there has been no convincing evidence of translocation into the circulation.
We hypothesized that the decline in the ruminal fluid and colon pH during conditions of sub-acute and acute acidosis together with the presence of endotoxin alter the permeability of these tissues and result in translocation of endotoxin into the systemic circulation.
Accordingly, we investigated whether common rumen fluid and colon concentrations of lipopolysaccharide (LPS) would affect the permeability of rumen and colon tissues to mannitol and LPS in Ussing chambers. In addition, this study was designed to answer the question whether acidic conditions similar to those found in the rumen fluid and colon during conditions of sub-acute and acute acidosis would affect the permeability of rumen and colon tissues to mannitol and LPS.
It was determined that permeability of rumen and colon tissues to mannitol were enhanced 6- and 5-fold by presence of E. coli LPS as well as acidic pH values (pH 4.5 and 5.5), respectively. The presence of endotoxin did not affect the permeability of rumen and colon tissues to mannitol at pH values ranging between 5.5 and 7.4. An individual variation in the permeability of rumen and colon tissues to mannitol was observed. The latter may explain the different responses and susceptibilities of ruminant animals to rumen acidosis.
Results of this study showed, for the first time, that conditions similar to sub-acute and acute acidosis that develop under feeding of high-grain diets as well as presence of LPS from E. coli strain B:055 increase several fold the permeability of rumen and colon tissues to mannitol. This indicates that rumen and colon tissues become leaky to toxic compounds under acidic conditions and presence of Gram-negative bacterial toxins.
Rumen pH values show that cows adjust within three days to feeding of barley grain at 0, 15, 30, and 45% of the diet on a DM-basis as well as 15% concentrate mix. However, rumen fluid pH values drop during the day at acidic values even after 10 days of feeding the grain mix. All diets containing more than 15% of barley grain reached acidic pH rumen values 8 h after feeding of the grain mix. Only the cows consuming the diet containing 0% barley grain maintained the rumen pH within normal ranges.
We then investigated how transition cows respond clinically to repeated oral and intravenous exposure to an E. coli antigen (E. coli lipopolysaccharide—(“LPS”)) during the 2 weeks before and 1 week after calving, and to determine the effects of repeated oral or intravenous administration of E. coli LPS on eating behaviour and milk yield during the transition period.
It was determined that both oral and intravenous administration of E. coli LPS increased the body temperature in cows before and after calving. Respiration rate differed with the route of antigen administration (i.e., oral increased and i/v decreased). No differences in rumen contractions and dry matter intake (“DMI”) were identified amongst four treatment groups. Cows treated with E. coli LPS had slightly lower milk production than control cows.
The results of these experiments showed that toxic compounds released by Gram-negative bacteria including E. coli play an important role in clinical responses observed in cows around calving. Both oral and parenteral exposures to the E. coli LPS enhanced body temperature. The oral administration of the E. coli LPS induced respiration whereas parenteral administration lowered the respiration rate.
In a further study, the metabolic responses of dairy cows to repeated administration of an E. coli endotoxin around parturition was investigated. The results of this study showed that beta-hydroxybutyric acid (“BHBA”) and non-esterified fatty acids (“NEFA”) increased in all cows during the first week after calving. Cows treated orally with the E. coli LPS had lower concentrations of BHBA, NEFA, and cholesterol and higher concentrations of glucose in the plasma during the first week after parturition. Without intending to be bound by any particular theory, it is speculated that oral administration with the E. coli LPS has induced cows' mucosal immune responses against Gram-negative bacterial endotoxins and therefore has prevented the entrance of these toxins into the bloodstream.
Cows treated intravenously with E. coli LPS had higher concentrations of BHBA, NEFA, and cholesterol and decreased concentrations of glucose in plasma indicating a role for these toxins in the etiology and pathogenesis of ketosis and fatty liver. Control cows had higher plasma BHBA, NEFA, and cholesterol and lower plasma glucose.
Because oral administration of an E. coli LPS prevented postpartal enhancement of BHBA and NEFA, it suggests that toxins released in the rumen and translocated into the bloodstream play an important role in pathogenesis of ketosis and fatty liver in transition dairy cows and accordingly these results establish that vaccination with a bacterial endotoxin is useful in preventing metabolic disorders.
Translocation of endotoxin in the bloodstream is also known to cause damage to the gastrointestinal barrier. We have observed that low pH and presence of endotoxin makes rumen and colon tissues leaky. Therefore, vaccination with endotoxin may also be used to prevent infection from Gram-negative bacteria.
EndotoxinAny bacterial endotoxin may be used in the practice of the invention. Endotoxins are cell-associated bacterial toxins. They generally compose part of the outer membrane of the cell wall of Gram-negative bacteria, whether pathogenic or not, such as Escherichia coli, Salmonella, Shigella, Pseudomonas, Neisseria, or Haemophilus. Many endotoxins are lipopolysaccharides (LPS), comprising a lipid component and a polysaccharide component. Toxicity of the endotoxin is associated with the lipid component (lipid A) and immunogenicity is associated with the polysaccharide component. Both lipid A and the polysaccharide components of LPS act as determinants of virulence in Gram-negative bacteria.
The structure of the lipid A component is highly conserved amongst Gram-negative bacteria. The polysaccharide component contains two regions. The first is known as the core (R) antigen or (R) polysaccharide. The core polysaccharide remains relatively constant within a bacterial genus but is structurally distinct amongst genera of bacteria. The second polysaccharide region is the somatic (O) antigen or (O) polysaccharide. The (O) polysaccharide varies substantially between species and even amongst strains of Gram-negative bacteria.
Endotoxins of the invention may be used in purified or unpurified form, provided that the endotoxin is not associated with components that interfere substantially with its utility.
In embodiments, purified endotoxins (for instance in crystalline form) may be used and are available from commercial sources such as Sigma-Aldrich. Synthetic endotoxins, such as synthetic LPS or LPS analogs may be used in practice of the invention. Truncated endotoxins, or portions or fractions of endotoxins comprising for example only the lipid A or core polysaccharide or (O) polysaccharide of LPS may be used as may be chimeric endotoxins comprising altered or heterologous lipid A or polysaccharide components.
CompositionsThe endotoxin may be administered to the subject neat (i.e. without additional diluents, carriers, etc.) or in the form of, without limitation, a pharmaceutical composition comprising the endotoxin. The endotoxin may also be administered as a component of the subject's diet, e.g. mixed with the subject's food or water.
Pharmaceutical compositions may be for oral, nasal, rectal, intravaginal or other modes of administration. The composition comprises the endotoxin in combination with one or more physiologically acceptable ingredients, such as carriers, excipients and/or diluents. Compositions and formulations for oral administration are particularly preferred.
Pharmaceutical compositions may be prepared, for example, in unit dose forms, such as tablets, sachets, capsules, dragees, suppositories or ampoules. They may be prepared in a conventional manner, for example by means of conventional mixing, granulating, confectioning, dissolving or lyophilising processes.
Preferred are pharmaceutical compositions formulated for administration to the gastrointestinal tract, such as by oral or rectal administration. Oral administration is particularly preferred as a convenient and economical mode of administration. Pharmaceutical compositions of the present invention in the form of dosage units for oral administration may take the form of, for example, granules, tablets, capsules, liquids or dragees prepared together with physiologically acceptable carriers, excipients and/or diluents.
Typical physiologically acceptable ingredients include:
(a) binding agents such as starch (e.g. pregelatinised maize starch, wheat starch paste, rice starch paste, potato starch paste), polyvinylpyrrolidone, hydroxypropyl methylcellulose, gum tragacanth and/or gelatin;
(b) fillers such as sugars (e.g. lactose, saccharose, mannitol, sorbitol), amylopectin, cellulose preparations (e.g. microcrystalline cellulose), calcium phosphates (e.g. tricalcium phosphate, calcium hydrogen phosphatelactose) and/or titanium dioxide;
(c) lubricants such as stearic acid, calcium stearate, magnesium stearate, talc, silica, silicic acid, polyethylene glycol and/or waxes;
(d) disintegrants such as the above-mentioned starches, carboxymethyl starch, cross-linked polyvinylpyrrolidone, agar, alginic acid or a salt thereof (e.g. sodium alginate) and/or sodium starch glycollate;
(e) wetting agents such as sodium lauryl sulphate; and/or,
(f) stabilizers.
Soft gelatin capsules may be prepared with capsules containing a mixture of the bacterial endotoxin together with paraffin oil, liquid polyethylene glycols, vegetable oil, fat and/or another suitable vehicle for soft gelatin capsules. Plasticizers such as glycerol or sorbitol may also be used. Hard gelatin capsules may contain granules of the composition. Hard gelatin capsules may also contain the endotoxin in combination with solid powdered ingredients such as those listed above.
Liquid formulations for oral administration may be prepared in the form of solutions, syrups or suspensions. Liquid formulations typically comprise the bacterial endotoxin together with an excipient such as sugar or sugar alcohols, and a carrier such as ethanol, water, glycerol, propylene glycol, polyethylene glycol, almond oil, oily esters or mixtures thereof. If desired, such liquid formulations may also contain coloring agents, flavoring agents, saccharine, thickening agents (e.g. carboxymethyl cellulose), suspending agents (e.g. sorbitol syrup, methyl cellulose, hydrogenated edible fats), emulsifying agents (e.g. lecithin, acacia), and/or preservatives (e.g. methyl p-hydroxybenzoates, propyl p-hydroxybenzoates, sorbic acid).
Liquid formulations for oral administration may also be prepared in the form of a dry powder to be reconstituted with water or another suitable vehicle prior to use.
In embodiments, the pharmaceutical compositions comprising endotoxin can be administered with a syringe.
The invention also provides kits or commercial packages comprising a composition as described above together with printed matter comprising instructions for using the composition for preventing a metabolic disorder or bacterial infection in a subject.
Dosage RegimensThe pharmaceutical composition will generally contain a therapeutically effective amount of the bacterial endotoxin, i.e. an amount that is effective, at dosages and for periods of time necessary, to achieve a desired prophylactic or therapeutic result, such as a reduction, inhibition, or prevention of disease onset or progression. A therapeutically effective amount may vary according to factors such as the disease state, age, sex, and weight of the individual, and the ability of the compound to elicit a desired response in the individual. Dosage regimens may be adjusted to provide the optimum therapeutic response. A therapeutically effective amount is also one in which any toxic or detrimental effects of the compound are outweighed by the therapeutically beneficial effects.
For any particular subject, specific dosage regimens may be adjusted over time according to the individual need and the professional judgement of the person administering or supervising the administration of the compositions.
In some embodiments wherein the subject is a pregnant animal such as a dairy cow, the composition may be administered to the subject from a time no more than four weeks prior to parturition to a time no more than four weeks after parturition. During this period the composition may preferably be administered about two times per week. For example, in embodiments, the composition may be administered two times per week for three weeks (e.g. two weeks before and one week after parturition), for a total of six administrations. The composition may be administered in a dose of from 0.01 to 1 μg endotoxin/kg body weight of the subject, more preferably from 0.01 to 0.1 μg endotoxin/kg body weight of the subject, or more particularly, at a dose of about 0.01, about 0.05, or about 0.1 μg endotoxin/kg body weight of the subject. In embodiments, the composition may be administered to the subject in a regimen comprising a series of increasing doses, for example where the dose is increased from about 0.01 to about 0.05 and further to about 0.1 μg endotoxin/body weight of the subject. In embodiments, then, the composition may be administered two times per week for three weeks (e.g. two weeks before and one week after parturition) in a regimen of increasing doses (e.g. wherein the dose is increased weekly) of for example about 0.01, about 0.05 and about 0.1 μg endotoxin/kg body weight of the subject.
SubjectsCompositions of the invention may be used in prevention of metabolic disorders in a wide range of subjects including mammals and birds, including, without limitation: humans; livestock such as cattle, horses, goats, sheep, and pigs; companion animals such as dogs and cats; rabbits and domesticated fowl such as chickens, ducks and geese.
In one embodiment, the subject is a ruminant mammal, such as, without limitation, a cow, goat, sheep, llama, bison or deer. In an embodiment, the subject is a pregnant or has recently given birth, such as a ruminant mammal within about 4 weeks before or after parturition.
DisordersThe compositions of the invention are useful for preventing metabolic disorders and bacterial infections. As used herein, the term “preventing” includes, without limitation, preventing, reducing, or delaying the onset of at least one symptom of a metabolic disorder of interest. In an embodiment, a metabolic disorder may be caused by or associated with parturition in the subject and/or the feeding of a diet containing an elevated proportion of grain-based feed or easily digestible carbohydrates. The metabolic disorder may be associated with or caused by increased permeability of the colon or rumen, particularly increased permeability that permits bacterial endotoxins to escape the rumen or colon and infiltrate the bloodstream. Metabolic disorders that may be prevented in animals, particularly ruminant mammals include without limitation ruminal acidosis, laminitis, ketosis, fatty liver, left displaced abomasum, milk fever, downer cow, retained placenta, metritis, mastitis, udder edema or bloat. Metabolic disorders that may be prevented in humans include, without limitation abdominal obesity, impaired glucose regulation, raised triglycerides, decreased high-density lipoprotein cholesterol, elevated blood pressure, hyperinsulinemia with underlying insulin resistance, atherosclerosis, cardiovascular disease or rheumatic inflammatory disease.
Bacterial infections that may be prevented include, without limitation, bacterial infections caused by endotoxin-producing Gram-negative bacteria, including, without limitation Escherichia coli, Salmonella, Shigella, Pseudomonas, Neisseria, or Haemophilus.
The invention is further illustrated by the following non-limiting examples.
Example 1In an experiment conducted at Dairy Research and Technology Centre (DRTC; University of Alberta) eight cannulated Holstein dairy cows (˜60 DIM) were divided into 4 groups of 2 cows each and were fed 4 different diets containing 0, 15, 30, and 45% barley grain as well as 15% concentrate mix (DM basis) in a 4×4 Latin square design with 4 periods of 21 d each (11-d of adaptation and 10-d of measurements period).
This experiment provided evidence that concentration of ruminal endotoxin is increased in dairy cows fed increasing proportions of barley grain.
Data on
This experiment also provided evidence that increased concentration of ruminal endotoxin stimulates an inflammatory response in transition dairy cows.
Another in vitro experiment further provided evidence that acidic pH and presence of endotoxin makes rumen and colon tissues leaky to endotoxin and other non-nutritious compounds.
On the other hand,
This example demonstrates that oral vaccination against lipopolysaccharide from Escherichia coli 0111:B4 protects cows from postpartal metabolic disorders.
Animals and TreatmentsDuring their final 3 wk prepartum, 32 multiparous Holstein cows were housed in a tie-stall barn with wood shavings for bedding, the number at any given time varied depending on the number of cows at that stage of gestation. Cows were blocked based on their parity, previous milk production as well as their expected day of calving and randomly assigned to one of the four treatment groups (8 cows/group) in a randomized blocked design 2 wk before the expected day of calving until 4 wk postpartum. Cows were offered dry-period and early-lactation diets, formulated according to NRC recommendation (2001) for transition dairy cows. The ingredient and nutrient composition of the dry-period- and early-lactation-diets are shown in Table 1.
Diets were mixed and offered as TMR individually once a day at 0600 h. Orts were recorded and discarded before the next feeding each day and the amount of feed was adjusted to ensure a 10% feed residual. Cows were milked twice a day at 0400 and 1500 h, and milk yield was recorded electronically every day for the first 28 days of lactation. All clinical disease and medication were recorded daily during the whole experimental period. The experiment was conducted at the University of Alberta Dairy Research and Technology Center, Edmonton, Canada. All cows were managed and treated in accordance with the guidelines established by the Canadian Council on Animal Care (1993) and all animal-related procedures were approved by the University of Alberta Faculty Animal Policy and Welfare Committee.
The four groups of cows were administered on d 14, 11, 7, and 4 before the expected day of parturition as well as on d 1 and 3 after parturition, one of the following treatments: (1) oral delivery of 2 mL of saline (0.15 M NaCl), (2) oral delivery of 2 mL of saline containing lipopolysaccharide (LPS) from Escherichia coli 0111:B4 (Sigma, St. Louis, Mo.), (3) intravenous delivery of 100 mL of saline (0.15 M NaCl), or (4) intravenous delivery of 100 mL of saline containing LPS from E. coli 0111:B4. A 5 mL syringe was used for administration of treatment into the oral cavity. The amount of LPS given to cows orally or intravenously (iv) was as follows: (1) on d 14 and 11 before the expected day of parturition 0.01 μg/kg of BW dissolved in 2 mL (oral) or 100 mL (iv) of saline, (2) on d 7 and 4 before the expected day of parturition 0.05 μg/kg of BW dissolved in 2 mL (oral) or 100 mL (iv) of saline, and (3) on d 1 and 3 after parturition 0.1 μg/kg of BW dissolved in 2 mL (oral) or 100 mL (iv) of saline. Cows were given one flat dose of LPS based on the 650 kg average body weight of cows at Dairy Research and Technology Transfer. Rectal temperature, respiration rate, and rumen contraction was measured from all cows 15 min before as well as 60, 120, 180, 240, 300, and 360 min after administration of treatment.
Blood Sampling and Laboratory AnalysesA catheter was introduced into the jugular vein 1 h before the administration of treatment to all cows in the experiment. Blood samples were obtained from the jugular catheter 15 min before as well as at 15, 30, 60, 120, 180, 240, 300, and 360 min after administration of treatment on d 14, 11, 7, and 4 before the expected day of parturition as well as on d 1 and 3 after parturition. Also, 1 single blood sample was obtained during d 10, 17, and 24 after parturition.
Blood was collected into 10-ml Vacutainer tubes (Beckton Dickinson and Co., Rutherford, N.J.) containing K3-EDTA, and plasma was prepared by centrifugation within 20 min. Plasma samples were stored at −20° C. until analyzed for concentrations of serum amyloid A (SAA), lipopolysaccharide-binding protein (LBP), haptoglobin, C-reactive protein (CRP), glucose, insulin, non-esterified fatty acids (NEFA), beta-hydroxybutyric acid (BHBA), lactate, cholesterol, cortisol, calcium, copper, iron, zinc as well as anti-LPS immunoglobulin A, G, and M.
Evidence that Vaccination of Transition Cows Against Endotoxin Prevents Occurrence of Metabolic Disorders in Dairy Cows Immediately after Parturition:
The clinical data presented below demonstrate that cows vaccinated against LPS (oral LPS group) were not affected by any metabolic disorders during the first 30 days after parturition. There was only one cow (i.e., 12% of the whole group) affected by lameness and mastitis more than 30 days after parturition. On the other hand, 7 out of 9 cows (or 78% of the group) from the control group (oral saline group) were affected by one or multiple metabolic disorders. One cow from the saline-treated group had a dead calf. Another cow from the control group became a downer cow and she was killed because she could not stand on her feet. That cow was substituted by a new cow to have 8 cows per group. In conclusion, the clinical data indicate that the vaccine reduced by 100% the incidence of metabolic disorders within the first 30 d after parturition and by 66% after 30 d of parturition.
Oral SalineCow 2360—Off feed five days after calving, Temp=40 c.
Cow 2113—Calf born dead, Retained placenta, metritis.
Cow 2013—Calved on day 1 exhibiting Mastitis, off feed, Temp 39.1 cc, Mastitis on day 49.
Cow 2163—Calved day 1. Off feed day 21, Fatty liver on day 29.
Cow 2371—Calved day 1, Off feed, Antibiotics administered.
Cow 307—Died due to fatty liver and downer cow syndrome.
Evidence that Oral Vaccination Against Endotoxin is Associated with Improved Immune Responses and Metabolic Status of the Transition Cows
The results presented indicate that:
- 1) Feeding dairy cows high proportions of barley grain (30 and 45% vs 0 or 15%) immediately after parturition is associated with enhanced concentrations (8- to 14-fold) of endotoxin in the ruminal fluid.
- 2) Presence of free endotoxin in the ruminal fluid is associated with translocation of endotoxin in the blood circulation as indicated by the in vitro study.
- 3) Low acidic ruminal pH and presence of endotoxin make rumen and colon tissues leaky to endotoxin and other non-nutritious compounds.
- 4) Translocation of endotoxin into the bloodstream is associated with activation of immune response as indicated by higher plasma SAA, LBP, and CRP in cows fed higher proportions of barley grain. These acute phase proteins are important in binding, neutralizing, and removing endotoxin from circulation.
- 5) Translocation of endotoxin into the bloodstream also affects many blood metabolites such as NEFA and BHBA causing fatty liver and ketosis in transition cows.
- 6) Prevention of endotoxin translocation is of utmost importance for prevention of metabolic disturbances during the transition period.
- 7) Vaccination against endotoxin (or LPS) prevented 100% metabolic disorders during the first 30 days after calving. This is the most critical period of occurrence of most of metabolic disorders in dairy cows. The vaccine also improved the occurrence of metabolic diseases by 66% after 30 days of calving.
- 8) Vaccination against LPS also improved immune responses (immunoglobulin production) as well as energy balance, lipid, and mineral metabolism in transition dairy cows.
All publications and patent applications cited in this specification are herein incorporated by reference as if each individual publication or patent application were specifically and individually indicated to be incorporated by reference. The citation of any publication is for its disclosure prior to the filing date and should not be construed as an admission that the present invention is not entitled to antedate such publication by virtue of prior invention.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood to one of ordinary skill in the art to which this invention belongs. As used in this specification and the appended claims, the singular forms “a,” “an,” and “the” include plural reference unless the context clearly dictates otherwise.
Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity of understanding, it is readily apparent to those of ordinary skill in the art in light of the teachings of this invention that certain changes and modifications may be made thereto without departing from the spirit or scope of the appended claims.
Claims
1. A composition for preventing a metabolic disorder or bacterial infection in a subject, said composition comprising a bacterial endotoxin.
2. The composition according to claim 1, wherein said endotoxin is a lipopolysaccharide.
3. The composition according to claim 1, wherein said bacterial endotoxin is derived from a gram-negative bacterium.
4. The composition according to claim 3, wherein said gram-negative bacterium is Escherichia coli.
5. The composition according to claim 1, wherein said endotoxin is a naturally-occurring, semi-synthetic or synthetic endotoxin.
6. The composition according to claim 1, said composition being adapted for administration to the mucosal tissues.
7. The composition according to claim 1, said composition being adapted for oral administration.
8. The composition according to claim 6, formulated as a tablet, capsule or liquid formulation.
9. A method for preventing a metabolic disorder or bacterial infection in a subject, said method comprising administering to said mammal a composition according to claim 1.
10. The method according to claim 9, wherein said method is a method for preventing a metabolic disorder.
11. The method according to claim 10, wherein said metabolic disorder is associated with parturition.
12. The method according to claim 10, wherein said metabolic disorder is associated with grain feeding or easily digestible carbohydrates in a ruminant mammal.
13. The method according to claim 10, wherein said metabolic disorder is associated with increased permeability of the rumen or colon of said mammal.
14. The method according to claim 13, wherein said increased permeability results in translocation of bacterial endotoxin from the gastrointestinal tract of said mammal to the bloodstream of said mammal.
15. The method according to claim 10 wherein said metabolic disorder is ruminal acidosis, laminitis, ketosis, fatty liver, left displaced abomasum, milk fever, downer cow, retained placenta, metritis, mastitis, udder edema or bloat.
16. The method according to claim 10, comprising administering said composition to said subject from a time no more than four weeks prior to parturition to a time no more than four weeks after parturition.
17. The method according to claim 10, comprising administering said composition to said subject two times per week.
18. The method according to claim 10, comprising administering said composition in a dose of from 0.001 to 1 μg endotoxin/kg body weight of said subject.
19. The method according to claim 18, wherein said dose comprises from 0.01 to 0.05 μg endotoxin/kg body weight of said subject.
20. The method according to claim 18, wherein said dose comprises about 0.01, about 0.05 or about 0.1 μg endotoxin/kg body weight of said subject.
21. The method according to claim 9, wherein said subject is a dairy cow.
22. The method according to claim 9, wherein said subject is human.
23. The method according to claim 22, wherein said human has one or more of abdominal obesity, impaired glucose regulation, raised triglycerides, decreased high-density lipoprotein cholesterol, elevated blood pressure, hyperinsulinemia with underlying insulin resistance, atherosclerosis, cardiovascular disease or rheumatic inflammatory disease.
Type: Application
Filed: Jun 7, 2007
Publication Date: May 6, 2010
Patent Grant number: 8920814
Applicant: The Governors of the University of Alberta (Edmonton)
Inventor: Burim N. Ametaj (Edmonton)
Application Number: 12/529,445
International Classification: A61K 31/715 (20060101); C08B 37/00 (20060101); A61P 3/04 (20060101); A61P 9/00 (20060101);
